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Organization

BOUTTE DENTAL ASSOCIATES, LLC

Active
Other names
Louisiana Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH R LACOSTE JR. DDS (OWNER)
(985) 345-0240
Entity
Organization

Contact information

Practice address
14243 US HIGHWAY 190, BOUTTE, LA 70039
(985) 785-0488
Mailing address
14243 US HIGHWAY 190, BOUTTE, LA 70039
(985) 785-0488

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3427
LA

Other

Enumeration date
04/06/2010
Last updated
04/06/2010
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